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<blockquote data-quote="dreamer" data-source="post: 173055" data-attributes="member: 1697"><p>In chicago itself, we had no problems with the Medicaide or Medicare. Not with docs and not with hosps. If we go south into rural central IL we have no problems. BUT we are 3-5 hours outside chicago. If there was an emergency, that is a long distance to go. Yes, difficult child had her psychiatrist in the city, and her neuro as well as sons neuro and sons eye care docs. My rheumy is in city. while my son was haveing his 2 eye suregries and followup for them, me and him lived at a Ronald McDonald house most of the 18 months. BUT that left difficult child and ill husband home untended and alone with just easy child to oversee them. It also cost a LOT for gas etc......that wound up on credit cards. </p><p></p><p>In late June, our state - I read something- they contacted providers? and said not to bother submitting either Medicare or Medicaide bills at the time- one or both, I do not remember, becuz they would not be paying any anyway, so not to bother billing. </p><p>The suburbs are laregly affluent. They are also judgemental and critical. You are hard pressed to find a lot of servies not becuz they cannot affod them so much as the mindset is "not in my backyard" and also "if I do not see it it does not exist" Use WIC at grocery store and cashier groans as does anyone in line behind you....and yes, you get nasty snide comments at you. If your child gets the free or reduced school lunch, people treat you not so nice. Not all so many years ago, I used Medicaide to pick up a Rx at pharmacy for ?? difficult child? and pharmacist was abnosixious and rude. </p><p></p><p>easy child was in a school basketball game and hit bleachers face first. went to ER and ER refused to sether broken arm. They said they no longer cast breaks, you have to call an ortho yourself to get it done. across hall from us was another kid, LOL at the private school who also got hurt at THEIR school basketball game and I SAW the ortho go into his room, and saw them prepping to cast his arm.....I KNEW from previous experience that once no longer IN the ER the ortho would not see easy child with Medicaide. NOT in his office. SO I watched the goings on, and then when the ortho came out of that exam area, I walked up to him and demanded he set my childs arm. He balked, he argued, security came to remove me.......and it was awful.....he tried to tell me no, he does not set bones at ER, as we were standing outside curtains of the arm he just finished casting. </p><p>Well, he DID set her arm.....BUT a few hours later we were at a different ER getting THAT cast removed, it was far too tight, and swelling had created a circulation problem and bruising. The other ER had to cut that cast off and put on a different one. BUT while in first ER noone was going to do anything for easy child. Their logic? broken bone is NOT life threatening, therefore not an ER issue. </p><p>The reality? They do not want to be bothered becuz reimbursement from Medicaide and Medicare is slow and low. </p><p>Is it illegal? Sure. But who enforces and how do they enforce? Even if authorities did do something, it takes years and if it is just fines? It still works out for them to pay those fines, costs them less overall than to take care of these patients. </p><p></p><p>My son was in this ER when he first hurt his eye. hey said nothing was wong with it......it would be fine. 3 days later it was so clearly not fine. Went back. they shrugged. went to another facility, they sent us to university......scar tissue built and internal bleeding into the eye- caused the retina to detach and the macula to detach and the scar tissue and bleeding was very extensive. By then the damage was so great, 2 9 hour surgeries could not repair it. </p><p>To sue this hospital would require the next docs to testify......and to say the damage was due to time delay.which they would say informally, but not formally in court. </p><p>why did I take easy child to this ER? cuz it was simple IV rehydration. we knew what was needed.....and we got that. same with 2nd time, I knew an ekg was needed and rehydration, we got that. </p><p>Why is ob gyne nurse acting this way? becuz per HIPPAA and confidentiality laws etc.....she CAN. and while I DO have signed paperwork, nurse CA defend herself saying....."yeah thats what they all say" </p><p>Experience with leaving home area to seek medical help elsewhre gets complicated, partly due to my illness, partly due to costs etc .lots of things, but, also when we do go elsewhere, we do run into facilities etc that really do not want us..they say things like we are too far away to be helpful in an emergency.......or they say "you are outside our general service area" and not always will the places between us and the city take us on. Often they will claim they are not accepting new patients. </p><p>and there is some truth....in an emergency, it would be a problem to be 3-5 hours away.</p></blockquote><p></p>
[QUOTE="dreamer, post: 173055, member: 1697"] In chicago itself, we had no problems with the Medicaide or Medicare. Not with docs and not with hosps. If we go south into rural central IL we have no problems. BUT we are 3-5 hours outside chicago. If there was an emergency, that is a long distance to go. Yes, difficult child had her psychiatrist in the city, and her neuro as well as sons neuro and sons eye care docs. My rheumy is in city. while my son was haveing his 2 eye suregries and followup for them, me and him lived at a Ronald McDonald house most of the 18 months. BUT that left difficult child and ill husband home untended and alone with just easy child to oversee them. It also cost a LOT for gas etc......that wound up on credit cards. In late June, our state - I read something- they contacted providers? and said not to bother submitting either Medicare or Medicaide bills at the time- one or both, I do not remember, becuz they would not be paying any anyway, so not to bother billing. The suburbs are laregly affluent. They are also judgemental and critical. You are hard pressed to find a lot of servies not becuz they cannot affod them so much as the mindset is "not in my backyard" and also "if I do not see it it does not exist" Use WIC at grocery store and cashier groans as does anyone in line behind you....and yes, you get nasty snide comments at you. If your child gets the free or reduced school lunch, people treat you not so nice. Not all so many years ago, I used Medicaide to pick up a Rx at pharmacy for ?? difficult child? and pharmacist was abnosixious and rude. easy child was in a school basketball game and hit bleachers face first. went to ER and ER refused to sether broken arm. They said they no longer cast breaks, you have to call an ortho yourself to get it done. across hall from us was another kid, LOL at the private school who also got hurt at THEIR school basketball game and I SAW the ortho go into his room, and saw them prepping to cast his arm.....I KNEW from previous experience that once no longer IN the ER the ortho would not see easy child with Medicaide. NOT in his office. SO I watched the goings on, and then when the ortho came out of that exam area, I walked up to him and demanded he set my childs arm. He balked, he argued, security came to remove me.......and it was awful.....he tried to tell me no, he does not set bones at ER, as we were standing outside curtains of the arm he just finished casting. Well, he DID set her arm.....BUT a few hours later we were at a different ER getting THAT cast removed, it was far too tight, and swelling had created a circulation problem and bruising. The other ER had to cut that cast off and put on a different one. BUT while in first ER noone was going to do anything for easy child. Their logic? broken bone is NOT life threatening, therefore not an ER issue. The reality? They do not want to be bothered becuz reimbursement from Medicaide and Medicare is slow and low. Is it illegal? Sure. But who enforces and how do they enforce? Even if authorities did do something, it takes years and if it is just fines? It still works out for them to pay those fines, costs them less overall than to take care of these patients. My son was in this ER when he first hurt his eye. hey said nothing was wong with it......it would be fine. 3 days later it was so clearly not fine. Went back. they shrugged. went to another facility, they sent us to university......scar tissue built and internal bleeding into the eye- caused the retina to detach and the macula to detach and the scar tissue and bleeding was very extensive. By then the damage was so great, 2 9 hour surgeries could not repair it. To sue this hospital would require the next docs to testify......and to say the damage was due to time delay.which they would say informally, but not formally in court. why did I take easy child to this ER? cuz it was simple IV rehydration. we knew what was needed.....and we got that. same with 2nd time, I knew an ekg was needed and rehydration, we got that. Why is ob gyne nurse acting this way? becuz per HIPPAA and confidentiality laws etc.....she CAN. and while I DO have signed paperwork, nurse CA defend herself saying....."yeah thats what they all say" Experience with leaving home area to seek medical help elsewhre gets complicated, partly due to my illness, partly due to costs etc .lots of things, but, also when we do go elsewhere, we do run into facilities etc that really do not want us..they say things like we are too far away to be helpful in an emergency.......or they say "you are outside our general service area" and not always will the places between us and the city take us on. Often they will claim they are not accepting new patients. and there is some truth....in an emergency, it would be a problem to be 3-5 hours away. [/QUOTE]
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